NPI | 1497771349 |
---|---|
Entity Type | Organization |
Authorized Contact | TINA BERNA Pharmacy Director PIC 602-256-9323 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy (Licence: AZ YO4257) |
Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
3336L0003X Pharmacy, Long Term Care Pharmacy | |
3336S0011X Pharmacy, Specialty Pharmacy | |
Enumeration Date | 2006-07-14 |
Last Update Date | 2020-08-22 |